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Treatment of Blockage Post Bypass Surgery Tips

Coronary Artery Bypass Surgery!

Dr. Paramjeet Singh 90% (1400 ratings)
MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Coronary Artery Bypass Surgery!

In coronary artery disease (CAD), the arteries that supply blood and oxygen to your heart muscle grow hardened and narrowed. You may try treatments such as lifestyle changes, medicines, and angioplasty, a procedure to open the arteries. If these treatments don't help, you may need coronary artery bypass surgery.

The surgery creates a new path for blood to flow to the heart. The surgeon takes a healthy piece of vein from the leg or artery from the chest or wrist. Then the surgeon attaches it to the coronary artery, just above and below the narrowed area or blockage. This allows blood to bypass (get around) the blockage. Sometimes people need more than one bypass.

The results of the surgery usually are excellent. Many people remain symptom-free for many years. You may need surgery again if blockages form in the grafted arteries or veins or in arteries that weren't blocked before. Lifestyle changes and medicines may help prevent arteries from becoming clogged again.

1 person found this helpful

Ayurvedic Treatment For Coronary Artery Blockage Without Surgery!

Dr. Chethan Jagalur 89% (63 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Davanagere
Ayurvedic Treatment For Coronary Artery Blockage Without Surgery!

Coronary artery blockage is the most common heart disease and also causes of premature death in the present era. Comparatively, male sex is more prone to the Arterial Blockages than females. Heart muscles need a regular blood supply, oxygen molecules and nutrients to function properly. Heart muscles need a regular blood supply, oxygen molecules and nutrients to function properly. Coronary arteries are those which supply blood to the heart muscles, any blockage in the coronary arteries causes decreases the supply of blood to the heart muscles. Coronary artery blockage is caused due to the build-up of the cells, fat and cholesterol which is called as plaque, which leads to lack of blood supply to the heart muscles.

When the person is active and takes too much stress, the heart needs, even more, blood supply, but when the coronary artery is blocked then there will be a lack of blood supply to heart muscles, such a condition is known as ischemic heart disease. Common symptoms of ischemic heart disease are

  • Irregular heart rhythm

  • Shortness of the breath

  • Angina pain

  • Tightness in chest

These symptoms take time to appear, but with the gradual decrease in oxygen supplied by the blood the muscles of the heart can get damaged, sometimes even permanently and that is what happens in a heart attack. If someone is suffering from ischemia since long, then it can lead to irregular heartbeat and heart failure.

Tests conducted for detecting coronary artery disease:

You doctor based on your medical history and symptoms will refer a particular test.

Treatments

If the coronary artery disease is diagnosed, then there are a number of ways it can be treated including lifestyle changes, medication, procedure or surgery

  • Lifestyle changes: It includes daily exercise, changes in the diet and strictly no smoking

  • Medication: In the allopathic system of medicine, medication can only help treat the symptoms of blocked coronary arteries, it cannot fix them.

Ayurvedic Approach: The way of understanding of medoroga prakarana according to yogaratnakara and other acharyas are unique. Even stoulya and medoroga is caused due to medo vruddi. Our acharya explains stoulya prakarana and medo roga prakarana in separately. It indicates that Stoulya includes fatty deposition in the adipose tissue. Likewise Medo roga including fat molecules and plasma cholesterol in the blood. Due to the more quantity of the fat molecules and plasma cholesterol in the blood, it can cause several disorders including coronary artery blockage, gallbladder stones, PCOD, Hypothyroidism, X-syndrome etc.

Clinically sometimes a person may be lean but can suffer from coronary artery disease or gallbladder stones, hypercholesterolemia, higher plasma cholesterol levels. Sometimes, we can’t find these conditions in obese persons, but they are more at risk of suffering from these problems.

Ayurvedic Medication:

Line of treatment:

  • Hrudya vati 1000mg 2 times a day before food can be helpful

  • Anarsha Kshara 3 pinch before food.

  • Sukha virechana Churna 1tsb after food will surely help

Note:

  • At the plaque formation stage in arteries and before the thrombus (blood clot) formation, plasma cholesterol management is required and for this Hrudya vati is highly recommended
  • With the help of above mentioned ayurvedic medicines, we can easily treat coronary artery blockage of 10 to 100%, without any stent or bypass surgery
  • Anupana: Water, Honey or Ghrutha

Other indications

  • Prevention of heart attack

  • Increased blood cholesterol (Lipid Profile Abnormalities)

  • Gall Bladder Stones

  • PCOD

  • Hypothyroidism

  • Metabolic X-Syndrome.

Conclusion

Coronary artery Blockage is caused due to Medo Vruddi in the blood that may accumulate in the coronary artery vessels. And, will eventually cause ischemia in the heart muscles i.e. craving of the oxygen supply to the heart muscles. That may produce the symptom like irregular heart rhythm, shortness of the breath, angina. After that, it may lead to thrombus formation and can cause myocardial infarction.

Serological Study: Sometimes 100% blockage with cholesterol, fat molecules and cells i.e. Plaque may not show any symptoms, but sometimes even 20-30% of blockage can show all the symptoms. So in the higher cholesterol level or in the hypercholesterolemia conditions and in the early stages of the Plaque formation, one should take medication.

Scientific study:- By observing different scholar’s scientific study of all the ingredients of Hrudya vati with respect to regularization of cholesterol level and break down of Plaque formation, we concluded that Hrudya Vati is the drug of choice for the coronary artery blockages.

Animal experiment: Also for further study we conducted an animal experiment on mice in Govt M-Pharma College Bangalore. Experiment result shows serum cholesterol level becomes normal. So that it can prevent the coronary blockage, and reverse the coronary artery blockages.

Clinical study: Through the Clinical study we observed that at the stage of plaque formation in the coronary artery and other arteries can be removed permanently that is 100% by advising Hrudya Vati.

No need to go for any stunt or bypass operation. With this medication can clear the pathway of the blood vessels, also prevents the blockages & heart attack. In case, there is a family history of heart attack and your blood cholesterol is high, it is advisable that you take at least one course of Hrudya vati, once a year. So, everyone must try to understand the condition of the coronary artery blockage and prevent further complications based on the evidence.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3030 people found this helpful

What You Need To Know About Blockages in Heart Arteries?

Dr. Nishith Chandra 91% (696 ratings)
DM Cardiology
Cardiologist, Delhi
What You Need To Know About Blockages in Heart Arteries?

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?

LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1954 people found this helpful

Blockages in Heart Arteries - Know About It!

Dr. Avinash Vilas Wankhede 89% (1502 ratings)
Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Blockages in Heart Arteries - Know About It!

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?

LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4078 people found this helpful

What Are Blockages in Heart Arteries

Dr. Bharat B. Kukreti 89% (10 ratings)
MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
What Are Blockages in Heart Arteries

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food to continuously working heart muscles. Heart muscles, which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?
LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.

4964 people found this helpful

Heart Arteries - Know Blockages Of It!

Dr. Avadhesh Khare 88% (49 ratings)
MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
Heart Arteries - Know Blockages Of It!

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?

LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.

Blockages in Heart Arteries - Know Causes Of It!

Dr. Preeti Sharma 86% (10 ratings)
MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Dehradun
Blockages in Heart Arteries - Know Causes Of It!

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block?

Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?

LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.

2617 people found this helpful

All You Need To Know About Coronary Artery Bypass Surgery (Heart Surgery)

Dr. Hanish Gupta 91% (1915 ratings)
MBBS, DNB (General Medicine)
General Physician, Delhi
All You Need To Know About Coronary Artery Bypass Surgery (Heart Surgery)

Coronary artery bypass surgery is a surgical procedure wherein blocked coronary artery or arteries (blood vessels that supply blood to the heart) are bypassed with blood vessels taken from the legs, arms or chest area. The procedure is performed to re-establish normal blood flow to the heart and is mainly used to treat coronary heart disease or coronary artery disease (CAD). 
A person suffering from coronary heart disease receives less supply of oxygen to the heart as his coronary arteries get blocked by fatty material. This accumulation of fat within the walls of the arteries causes these blood vessels to become narrow, leading to problems like chest pain, abnormal heart rhythms, and shortness of breath, among other things. 

Where do these bypassing Blood Vessels come from?

Depending on the extent and location of the blockage as well as size of your coronary arteries, different types of grafts (blood vessels) may be used for the procedure. The grafts that are employed during the procedure are the following:

Internal mammary arteries: These arteries are the most common grafts used for the procedure. They are located in the chest area and are kept in their place of origin so as to not disrupt the flow of oxygen through these blood vessels. They are known to provide the best long-term outcomes and better rate of survival compared to others. 

Saphenous veins: These blood vessels are taken from the leg area and are attached from the aorta to the coronary artery, below the place of blockage.  Generally, these veins are inserted using minimally invasive procedures to prevent scarring and to ensure quicker recovery.

Radial artery: Situated in the lower part of the arm, radial arteries are removed for use as grafts. But this graft option is not prescribed for people suffering from conditions like Raynaud's disease (a rare disorder characterized by the numbness of the fingers and toes in times of stress or cold temperatures), painful fingers during winters or carpal tunnel syndrome (a medical condition of the hand and fingers brought on by the compression of the median nerve travelling through the carpal tunnel of the wrist).

The different procedures for Heart Surgery:
Open heart procedure is the most preferred surgical option for bypassing blocked coronary arteries. During this procedure, the heart is stopped for some time and is put on a heart-lung machine so as to enable the surgeon to perform the necessary bypass.  Beating heart bypass surgery or off-pump procedures, wherein the surgeon carries out the surgery without stopping the heart is also increasingly being used. 

Apart from these traditional procedures, minimally-invasive procedures like robotic procedures (a surgery in which a mechanical device is used) or key-hole surgery (surgery that sees very small incisions being made) are also performed to restore blood flow to the heart. These procedures are becoming increasingly popular as they provide a shorter recovery time and hospital stay alongside less scarring issues.

3202 people found this helpful

Blockages In Heart Arteries - What Does This Mean?

Dr. Amar Nath Shaw 88% (10 ratings)
MCh (CTVS)
Cardiothoracic Vascular Surgery, Patna
Blockages In Heart Arteries - What Does This Mean?

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?

LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart. In case you have a concern or query you can always consult an expert & get answers to your questions!

4865 people found this helpful

Bypass surgery - Don't be afraid, best treatment for heart attack.

Cardiologist, Mumbai
Bypass surgery - Don't be afraid, best treatment for heart attack.
If you are patient of coronary artery disease (heart attack /chest pain) patient, don't get afraid. In modern era bypass surgery provides best available option for its treatment.
Now we do bypass on beating heart complication rate is very low and death rate is less than 1%.
Now total arterial bypass surgery is there so patients are symptom free for 20 to 25 yrs post bypass surgery which can not be achieved by angioplasty or other modes of treatment.
So if your more than two artery are blocked you should go for bypass surgery which is always superior to angioplasty (stent).
Cost of surgery and angioplasty are same. So its better to go for bypass surgery in above mentioned cases.
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